Eczema, Asteatotic - DermAtlas - Dermatology Image Atlas

Contributor

Shahbaz A. Janjua, MD

Diagnosis

eczema, asteatotic

Body Site

leg ankle foot

Age

50 years

Pigmentation

medium

Organization

confluent

Color

brown red

Morphology

papulosquamous (bump, scale)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 50-year-old woman developed thickened dry scaly plaques on her legs that worsened each winter for the last several years. Asteatotic dermatitis commonly affects the elderly with decreased sebaceous and sweat gland activity, patients on antiandrogen therapy, and people using degreasing agents and bathing without replacing natural skin emolients. Transepidermal absorption of allergens and irritants is increased as the epidermis is damaged increasing the risk of allergic or irritant contact dermatitis.She improved with topical emolients and high potency topical steroids.

Description

symmetric, red, scaly, lichenified patches with curvilinear fissuring and cracking

Image Added

6/7/2003 23:56:51

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Other Resources

PubMed Medline Plus Medscape

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